Imaging prices at Saratoga Hospital
Saratoga Springs, NY · every code in this section with a posted price and a Medicare benchmark.
402 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,472.50 | $14,945 | 4.3× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$153.50–$197 | $307–$394 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$35–$245.50 | $70–$491 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $680.50 | $1,361 | 1.4× |
| Angio internal mammary (75756) | $4,184.50 | $8,369 | 1.1× |
| Angio pulmonary bilat (75743) | $2,179 | $4,358 | 0.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,085 | $10,170 | 1.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,473.50–$3,685.50 | $4,947–$7,371 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$3,685.50–$5,085 | $7,371–$10,170 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,085 | $10,170 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,879 | $3,758 | 0.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$46–$240 | $92–$480 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,085 | $10,170 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $261 | $522 | 0.1× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,085–$6,358.50 | $10,170–$12,717 | varies |
| Artery X-Rays Adrenal Gland (75731) | $5,085 | $10,170 | 1.3× |
| Artery X-Rays Pelvis (75736) range across 4 matching MRF lines |
$5,085–$6,358.50 | $10,170–$12,717 | varies |
| Artery X-Rays Spine (75705) | $7,105.50 | $14,211 | 1.0× |
| Arthrogram ankle (73615) | $531 | $1,062 | 1.2× |
| Arthrogram hip (73525) | $531 | $1,062 | 1.2× |
| Arthrogram Wrist (73115) | $426 | $852 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $471.50 | $943 | 2.8× |
| Bone age studies (77072) | $373.50 | $747 | 2.9× |
| Bone Imaging 3 Phase (78315) | $1,267 | $2,534 | 2.5× |
| Bone Imaging Limited Area (78300) | $503.50 | $1,007 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $939.50 | $1,879 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,425.50 | $2,851 | 2.9× |
| Bone marrow imaging limited area (78102) | $586 | $1,172 | 1.2× |
| Bone marrow imaging; whole body (78104) | $561 | $1,122 | 1.1× |
| Bone survey infant (77076) | $359.50 | $719 | 2.8× |
| Brachytx isodose complex (77318) | $826.50 | $1,653 | 1.8× |
| Brachytx isodose intermed (77317) | $636.50 | $1,273 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $490.50 | $981 | 1.0× |
| Brain imaging < 4 static views (78600) | $369.50 | $739 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $669 | $1,338 | 1.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $842.50 | $1,685 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,846.50 | $9,693 | 2.7× |
| Cardiac Shunt Detection (78428) | $648 | $1,296 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $562 | $1,124 | 5.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $446.50 | $893 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $1,093 | $2,186 | 1.6× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$223–$286.50 | $446–$573 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$251–$322 | $502–$644 | varies |
| Chest 3 views (71047) | $404.50 | $809 | 3.7× |
| Chest 4 or more views (71048) | $535 | $1,070 | 4.1× |
| Cholecystography Oral Contrast (74290) | $419 | $838 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$234.50–$272 | $469–$544 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,590.50 | $3,181 | 12.2× |
| Continuing medical physics consltj pr wk (77336) | $539.50 | $1,079 | 3.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,859.50–$3,685.50 | $5,719–$7,371 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$208–$266.50 | $416–$533 | varies |
| Contrast X-Ray Of Elbow (73085) | $543.50 | $1,087 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $683.50 | $1,367 | 1.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $294 | $588 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,213 | $8,426 | 9.7× |
| CT abdomen and pelvis without contrast (74176) | $3,173.50 | $6,347 | 10.7× |
| CT abdomen w contrast (74160) | $2,080.50 | $4,161 | 9.5× |
| CT abdomen w wo contrast (74170) | $2,311.50 | $4,623 | 10.6× |
| CT abdomen w/o contrast (74150) | $1,516.50 | $3,033 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,704 | $3,408 | 3.9× |
| CT Angio Chest (71275) | $1,653 | $3,306 | 7.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,101.50–$1,215 | $2,203–$2,430 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $930.50 | $1,861 | 4.2× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,101.50–$1,215 | $2,203–$2,430 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,026.50 | $2,053 | 4.7× |
| CT bone density (77078) | $349 | $698 | 3.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $670.50 | $1,341 | 3.1× |
| CT cervical spine w/ contrast (72126) | $1,892.50 | $3,785 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,664 | $3,328 | 12.8× |
| CT cervical spine w/wo cont (72127) | $2,095 | $4,190 | 9.6× |
| CT chest w contrast (71260) | $1,728.50 | $3,457 | 7.9× |
| CT chest w/wo contrast (71270) | $2,095 | $4,190 | 9.6× |
| CT colonography screening (74263) | $472 | $944 | 1.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $723.50 | $1,447 | 3.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $472 | $944 | 3.6× |
| CT head/brain with contrast (70460) | $1,410 | $2,820 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,640.50 | $3,281 | 7.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $71.50 | $143 | 0.7× |
| CT iac w contrast (70481) | $1,448.50 | $2,897 | 6.6× |
| CT l-spine w&w/o contrast (72133) | $2,269.50 | $4,539 | 10.4× |
| CT lower ext w/o (73700) | $1,276 | $2,552 | 9.8× |
| CT lower extremity w/contrast material (73701) | $1,448.50 | $2,897 | 6.6× |
| CT lumbar spine w contrast (72132) | $1,892.50 | $3,785 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,664 | $3,328 | 12.8× |
| CT maxillofacial w contrast (70487) | $1,684.50 | $3,369 | 7.7× |
| CT maxillofacial wo contrast (70486) | $1,137.50 | $2,275 | 8.7× |
| CT neck tissue combo (70492) | $1,915 | $3,830 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,517 | $3,034 | 6.9× |
| CT orbits w/o contrast (70480) | $1,276 | $2,552 | 9.8× |
| CT pelvis w&w/o contrast (72194) | $2,138.50 | $4,277 | 9.8× |
| CT pelvis w/o contrast (72192) | $1,393.50 | $2,787 | 10.7× |
| CT scan of leg combo (73702) | $1,773 | $3,546 | 8.1× |
| CT scans face/jaw combo (70488) | $1,830.50 | $3,661 | 8.4× |
| CT soft tissue neck w contrast (70491) | $1,684.50 | $3,369 | 7.7× |
| CT soft tissue neck w/o contrast (70490) | $1,468.50 | $2,937 | 11.3× |
| CT thoracic spine w contrast (72129) | $1,892.50 | $3,785 | 8.6× |
| CT thoracic spine w/o contrast (72128) | $1,664 | $3,328 | 12.8× |
| CT thoracic spine w/wo cont (72130) | $2,095 | $4,190 | 9.6× |
| CT thorax w/o contrast (71250) | $1,590.50 | $3,181 | 12.2× |
| CT upper ext wo (73200) | $1,276 | $2,552 | 9.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,773 | $3,546 | 8.1× |
| CT upper extremity with contrast (73201) | $1,448.50 | $2,897 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,247 | $2,494 | 5.7× |
| Cta Abdomen (74175) | $1,137.50 | $2,275 | 5.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,314 | $4,628 | 5.3× |
| CTA pelvis (72191) | $1,137.50 | $2,275 | 5.2× |
| Dilation ureters/urethra rs&i (74485) | $2,654.50 | $5,309 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $3,914 | $7,828 | 1.6× |
| Diskography lumbar (72295) | $3,914 | $7,828 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $125.50 | $251 | 1.0× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$335–$428.50 | $670–$857 | varies |
| Dxa bone density study (77085) | $544 | $1,088 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$154–$198 | $308–$396 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$582–$663.50 | $1,164–$1,327 | varies |
| Echo Guide For Artery Repair (76936) | $367.50 | $735 | 1.4× |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$142.50–$165.50 | $285–$331 | varies |
| Esophageal Motility Study (78258) | $412.50 | $825 | 0.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$289–$370 | $578–$740 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$31.50–$571 | $63–$1,142 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$70–$796.50 | $140–$1,593 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$412.50–$528.50 | $825–$1,057 | varies |
| Follow-Up Angiography (75898) | $1,305.50 | $2,611 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$37.50–$237 | $75–$474 | varies |
| Forearm 2 views (73090) | $532 | $1,064 | 4.9× |
| Gastric emptying imaging study (78264) | $1,160 | $2,320 | 2.3× |
| Gastroesophageal Reflux Exam (78262) | $807 | $1,614 | 1.6× |
| Gated Heart Planar Single (78472) | $1,254.50 | $2,509 | 2.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$216.50–$251 | $433–$502 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,826 | $3,652 | 2.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,405 | $2,810 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,080.50 | $2,161 | 1.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$5,085 | $228–$10,170 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,085 | $10,170 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,158 | $2,316 | 1.7× |
| Hepatobiliary System Imaging (78226) | $1,216 | $2,432 | 2.4× |
| Ht Musc Image Planar Mult (78454) | $1,736 | $3,472 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $2,017 | $4,034 | 1.2× |
| Hysterosalpingogram (74740) | $582 | $1,164 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $289 | $578 | 2.7× |
| K Flow/Funct Image Multiple (78709) | $1,056 | $2,112 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $1,002 | $2,004 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,104.50 | $2,209 | 1.6× |
| Kidney Imaging Morphol (78700) | $811 | $1,622 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $446.50 | $893 | 0.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$291.50–$338.50 | $583–$677 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,105.50 | $2,211 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $447.50 | $895 | 0.9× |
| Liver imaging static only (78201) | $1,948.50 | $3,897 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,155 | $2,310 | 1.7× |
| Lung perfusion differential (78597) | $1,014.50 | $2,029 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,155 | $2,310 | 1.7× |
| Lung Ventilation Imaging (78579) | $1,014.50 | $2,029 | 2.0× |
| Lymph System Imaging (78195) | $621 | $1,242 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $583 | $1,166 | 2.0× |
| Mammary ductogram or galactogram multiple (77054) | $1,174.50 | $2,349 | 3.9× |
| Mammary ductogram or galactogram single (77053) | $1,051 | $2,102 | 3.5× |
| Meckels Divert Exam (78290) | $668.50 | $1,337 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) | $628 | $1,256 | 1.3× |
| Mr safety determination physician/other qhp (76016) | $136 | $272 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $45.50 | $91 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $148.50 | $297 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $92.50 | $185 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $372.50 | $745 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,595.50 | $7,191 | 8.3× |
| MRA head w/o contrast (70544) | $2,165.50 | $4,331 | 7.3× |
| MRA head with contrast (70545) | $2,424.50 | $4,849 | 5.6× |
| MRA neck w contrast (70548) | $1,832.50 | $3,665 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,595.50 | $7,191 | 8.3× |
| MRA neck w/o contrast (70547) | $1,832.50 | $3,665 | 6.2× |
| MRI abdomen w contrast (74182) | $2,801.50 | $5,603 | 6.4× |
| MRI abdomen w/o contrast (74181) | $2,179 | $4,358 | 7.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,170 | $4,340 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,013.50 | $8,027 | 9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,170 | $4,340 | 2.2× |
| MRI brain functional w/o physician admnistration (70554) | $376 | $752 | 1.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,445.50 | $8,891 | 14.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,223 | $4,446 | 7.5× |
| MRI cardiac w/o contrast (75557) | $1,832.50 | $3,665 | 6.2× |
| MRI cervical spine w contrast (72142) | $2,706.50 | $5,413 | 6.2× |
| MRI cervical spine w/o cont (72141) | $2,311.50 | $4,623 | 7.8× |
| MRI chest w/o contrast (71550) | $2,179 | $4,358 | 7.3× |
| MRI chest with contrast (71551) | $2,833.50 | $5,667 | 2.9× |
| MRI chest wo w contrast (71552) | $3,992.50 | $7,985 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,968 | $3,936 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,378.50 | $4,757 | 5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,378.50 | $4,757 | 8.0× |
| MRI lumbar spine w contrast (72149) | $2,671 | $5,342 | 6.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,763 | $9,526 | 10.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,170 | $4,340 | 7.3× |
| MRI orbit face neck w contrast (70542) | $2,369.50 | $4,739 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,013.50 | $8,027 | 9.2× |
| MRI pelvis w contrast (72196) | $2,910.50 | $5,821 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $4,021 | $8,042 | 9.2× |
| MRI pelvis w/o contrast (72195) | $1,821.50 | $3,643 | 6.1× |
| MRI thoracic spine w/o contrast (72146) | $2,461 | $4,922 | 8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,968 | $3,936 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,013.50 | $8,027 | 13.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,375.50 | $4,751 | 5.5× |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,150–$4,021 | $6,300–$8,042 | varies |
| MRI, dorsal spine combo (72157) | $4,763 | $9,526 | 10.9× |
| MRI, dorsal spine contrast (72147) | $2,706.50 | $5,413 | 6.2× |
| MRI, joint upper extrem (73221) | $1,809.50 | $3,619 | 6.1× |
| MRI, joint upper extrem combo (73223) | $4,013.50 | $8,027 | 9.2× |
| MRI, lumbar spine combo (72158) | $4,722.50 | $9,445 | 10.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,227.50 | $2,455 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $878.50 | $1,757 | 1.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,736 | $3,472 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $1,823.50 | $3,647 | 1.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,214 | $4,428 | 1.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,341 | $6,682 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,895 | $5,790 | 1.1× |
| Neck soft tissue (70360) | $303 | $606 | 2.8× |
| Nm csf leak detection (78650) | $1,431.50 | $2,863 | 0.9× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$8,896–$11,121.50 | $17,792–$22,243 | varies |
| Nuclear Rx Intra-Arterial (79445) | $375 | $750 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $976 | $1,952 | 3.4× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$89–$755.50 | $178–$1,511 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $51.50 | $103 | 0.4× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $5.50 | $11 | 0.2× |
| Optic foramina (70190) | $241 | $482 | 2.2× |
| Panoramic X-ray of jaws (70355) | $264 | $528 | 2.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $836.50 | $1,673 | 1.2× |
| Parathyroid Planar Imaging (78070) | $460 | $920 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $561 | $1,122 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$204–$261.50 | $408–$523 | varies |
| Peritoneogram Rs&I (74190) | $1,164.50 | $2,329 | 1.7× |
| Pet Image W/Ct Lmtd (78814) | $4,577.50 | $9,155 | 2.6× |
| PET image w/CT, full body (78816) | $5,529.50 | $11,059 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,027.50 | $10,055 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $566 | $1,132 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $212 | $424 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $425 | $850 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$37.50–$323 | $75–$646 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$37.50–$251 | $75–$502 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$259–$300.50 | $518–$601 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $386 | $772 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$164.50–$212 | $329–$424 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$37.50–$325.50 | $75–$651 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$229.50–$266.50 | $459–$533 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $314.50 | $629 | 2.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $384 | $768 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $290 | $580 | 2.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $388.50 | $777 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$201.50–$259 | $403–$518 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$320–$409.50 | $640–$819 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $315 | $630 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $531 | $1,062 | 4.9× |
| Radex Sternum Minimum 2 Views (71120) | $276 | $552 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $421.50 | $843 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$212–$272 | $424–$544 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $314.50 | $629 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$239.50–$278 | $479–$556 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $906.50 | $1,813 | 6.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,636.50 | $25,273 | 1.4× |
| Radiation treatment delivery level 1 (77402) range across 3 matching MRF lines |
$505.50–$3,122.50 | $1,011–$6,245 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$660–$3,902.50 | $1,320–$7,805 | varies |
| Radiation treatment delivery level 3 (77412) range across 4 matching MRF lines |
$879.50–$4,877.50 | $1,759–$9,755 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $469 | $938 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $338.50 | $677 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $813.50 | $1,627 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $531 | $1,062 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $447.50 | $895 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$369.50–$636.50 | $739–$1,273 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $165.50 | $331 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $598.50 | $1,197 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $413 | $826 | 1.9× |
| Radiologic exam teeth complete full mouth (70320) | $469 | $938 | 1.6× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $215.50 | $431 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$652–$667 | $1,304–$1,334 | varies |
| Radiologic examination femur 1 view (73551) | $250 | $500 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$195–$226.50 | $390–$453 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$194–$225.50 | $388–$451 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $241 | $482 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$292–$339 | $584–$678 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $385 | $770 | 0.6× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $191 | $382 | 1.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $449 | $898 | 0.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $345.50 | $691 | 0.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$307.50–$374.50 | $615–$749 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $481.50 | $963 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,471 | $2,942 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,613 | $5,226 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,948 | $3,896 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,613 | $5,226 | 3.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,613 | $5,226 | 1.6× |
| Scapula (73010) range across 2 matching MRF lines |
$251–$322 | $502–$644 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$33–$169 | $66–$338 | varies |
| Sella turcica (70240) | $273 | $546 | 2.5× |
| Shoulder 1 view (73020) | $323 | $646 | 3.0× |
| Shoulder Arthrography (73040) | $521 | $1,042 | 1.2× |
| Sialogram (70390) | $390 | $780 | 1.3× |
| Skull less than 4 views (70250) | $371 | $742 | 2.8× |
| Special dosimetry (77331) | $496 | $992 | 3.0× |
| Special Physics Consult (77370) | $529 | $1,058 | 3.2× |
| Special teletherapy port plan (77321) | $1,053 | $2,106 | 2.3× |
| Special treatment procedure (77470) | $2,237.50 | $4,475 | 3.2× |
| Spleen Imaging (78185) | $309 | $618 | 0.6× |
| Stereotactic Body Radiation Delivery (77373) | $2,803.50 | $5,607 | 1.3× |
| Sternoclavicular joints (71130) | $290 | $580 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 7 matching MRF lines |
$2,034.50–$3,067 | $4,069–$6,134 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 7 matching MRF lines |
$1,499.50–$2,530.50 | $2,999–$5,061 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $544 | $1,088 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,490.50 | $2,981 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $976.50 | $1,953 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $738 | $1,476 | 4.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $162 | $324 | 0.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$292–$374 | $584–$748 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$252–$323 | $504–$646 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$349–$446.50 | $698–$893 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $436.50 | $873 | 0.9× |
| Thyroid Met Imaging Body (78018) | $722.50 | $1,445 | 1.1× |
| Thyroid Uptake Measurement (78012) | $239.50 | $479 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $485 | $970 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $926 | $1,852 | 2.0× |
| Tx devices design & construction intermediate (77333) | $426 | $852 | 2.5× |
| Tx devices design & construction simple (77332) | $426 | $852 | 2.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$78.50–$547.50 | $157–$1,095 | varies |
| Ultrasound elastography first target lesion (76982) | $209.50 | $419 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $209.50 | $419 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $235.50 | $471 | 1.8× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$138.50–$628 | $277–$1,256 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$44.50–$747 | $89–$1,494 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$183–$198.50 | $366–$397 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$50–$395.50 | $100–$791 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$325–$416 | $650–$832 | varies |
| Urethrocystogram voiding (74455) | $478 | $956 | 1.6× |
| Urethrocystography retrograde (74450) | $687.50 | $1,375 | 2.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$102.50–$604 | $205–$1,208 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$481–$615.50 | $962–$1,231 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$124–$271 | $248–$542 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$388.50–$496.50 | $777–$993 | varies |
| Us head (76506) | $615.50 | $1,231 | 4.7× |
| Us kidney transplant (76776) | $342 | $684 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$50.50–$175.50 | $101–$351 | varies |
| Us ob detailed single fetus (76811) | $793.50 | $1,587 | 2.7× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$74.50–$390 | $149–$780 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$61.50–$615.50 | $123–$1,231 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$109.50–$582 | $219–$1,164 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$105–$793.50 | $210–$1,587 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$217.50–$461.50 | $435–$923 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$528.50–$676.50 | $1,057–$1,353 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$306–$392.50 | $612–$785 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$374–$520 | $748–$1,040 | varies |
| Us spinal canal and contents (76800) | $330.50 | $661 | 2.5× |
| Us thyroid (76536) range across 3 matching MRF lines |
$212.50–$272.50 | $425–$545 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$125–$660 | $250–$1,320 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,774–$1,841 | $3,548–$3,682 | varies |
| Venogram Sinus/Jugular (75860) | $4,164.50 | $8,329 | 1.1× |
| Venography Adrenal Unilateral (75840) | $5,085 | $10,170 | 1.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,685.50–$5,085 | $7,371–$10,170 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,780–$1,841 | $3,560–$3,682 | varies |
| Venography extremity unilateral rs&i (75820) range across 10 matching MRF lines |
$1,780–$1,841 | $3,560–$3,682 | varies |
| Venography Renal Bilateral (75833) | $4,611.50 | $9,223 | 1.2× |
| Venography Renal Unilateral (75831) | $5,085 | $10,170 | 1.3× |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$5,085–$6,358.50 | $10,170–$12,717 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $550 | $1,100 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $113 | $226 | 1.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$212–$246.50 | $424–$493 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $366.50 | $733 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $583 | $1,166 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$2,304–$3,685.50 | $4,608–$7,371 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$332–$425 | $664–$850 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$278–$503 | $556–$1,006 | varies |
| X-Ray Exam Breast Specimen (76098) | $780.50 | $1,561 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $413.50 | $827 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$441–$537.50 | $882–$1,075 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $698 | $1,396 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $498.50 | $997 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$468.50–$599.50 | $937–$1,199 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$639–$778 | $1,278–$1,556 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$737–$942 | $1,474–$1,884 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$957.50–$1,223 | $1,915–$2,446 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,590.50 | $3,181 | 12.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$415–$531 | $830–$1,062 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$264.50–$339.50 | $529–$679 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$572–$663.50 | $1,144–$1,327 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $315 | $630 | 2.4× |
| X-ray eye for foreign body (70030) | $395.50 | $791 | 3.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$265–$307.50 | $530–$615 | varies |
| X-ray IV pyelogram (ivp) (74400) | $786.50 | $1,573 | 3.6× |
| X-ray IV pyelogram+tomography (74415) | $1,063.50 | $2,127 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $212 | $424 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $204 | $408 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$216.50–$277.50 | $433–$555 | varies |
| X-ray nose-rectum child f.b. (76010) | $218.50 | $437 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$359.50–$437.50 | $719–$875 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$226.50–$292 | $453–$584 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $234 | $468 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$215.50–$276 | $431–$552 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $505.50 | $1,011 | 4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $505.50 | $1,011 | 3.9× |
| X-Ray Stress View (77071) | $77 | $154 | 0.7× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$368.50–$448.50 | $737–$897 | varies |
| X-Ray Tmj Unilat (70328) | $212 | $424 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$70–$491 | $140–$982 | varies |
| X-Rays Bone Length Studies (77073) | $447.50 | $895 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $479.50 | $959 | 3.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$339–$434.50 | $678–$869 | varies |
| Xr facial bones less than 3 views (70140) | $371 | $742 | 3.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $241 | $482 | 1.8× |
| Xr orbits complete 4 views (70200) | $456.50 | $913 | 3.5× |
| Xr Tomogram Single Plane (76100) | $407.50 | $815 | 3.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.